肥胖与无症状的脊椎骨折有关:雅库莫研究
Yuichi Miyairi1, Hiroaki Nakashima1, Sadayuki Ito1
1Department of Orthopaedic Surgery, Nagoya University Graduate School of Medicine, Nagoya 466-8560, Japan.
Journal of clinical medicine
|April 13, 2024
概括
老年人的无症状脊椎骨折 (VFs) 与更高的体重指数 (BMI) 和身体脂肪百分比 (BF%) 有关. 这些人也显示出膝关节骨关节炎 (KOA) 的更高发病率.
科学领域:
- 老年学是一门学科.
- 放射学 放射学是一门学科.
- 整形外科 整形外科 整形外科
背景情况:
- 脊椎骨折 (VFs) 患者面临重新骨折和死亡的风险增加.
- 显著的大多数VF患者接受不充分的临床治疗.
- 早期识别无症状VF的危险因素对于干预至关重要.
研究的目的:
- 在中年和老年人中识别与无症状脊椎骨折 (VFs) 相关的因素.
- 为了研究身体组成,疼痛和无症状的VF之间的关系.
- 评估膝关节骨关节炎 (KOA) 在无症状VFs的个体中的患病率.
主要方法:
- 研究包括217名50岁以上的参与者接受健康检查.
- 用Genant的半定量 (SQ) 方法诊断的脊椎骨折 (VFs) 在侧面放射图上.
- 参与者分为非VF (SQ等级0) 和无症状VF (SQ等级1-3) 组.
主要成果:
- 无症状的VF组 (N=22) 与非VF组 (N=195) 相比,体质指数 (BMI),体脂百分比 (BF%) 和膝关节骨关节炎 (KOA) 的患病率显著更高.
- 在无症状VF组中观察到膝关节疼痛视觉模拟量表 (VAS) 和painDETECT的得分更高.
- 后勤回归确定了BF%作为与无症状VFs相关的显著因素.
结论:
- 中年和老年人群中的无症状脊椎骨折 (VFs) 与BMI和BF%的升高有关.
- 膝关节骨关节炎 (KOA) 的发病率较高在无症状VFs的个体中.
- 身体脂肪百分比增加是与无症状VFs存在相关的关键因素.
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